Request for Scholar Records
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Scholar's First Name: *
Scholar's Middle Name:
Scholar's Last Name: *
Scholar's Grade in 2019-2020: *
Scholar's Homeroom Teacher: *
Scholar's Date of Birth: *
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Parent/Guardian's Full Name: *
Parent/Guardian's Preferred Phone Number: *
Parent/Guardian's Email Address: *
Parent/Guardian & Scholar's Address: *
City: *
State: *
Zip Code: *
What type of school will your scholar be moving to: *
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